Phoenix Wellness Center Llc

LBN: Phoenix Wellness Center Llc
Phoenix Wellness Center Llc is an health care organization with primary practice located at 2060 W Whispering Wind Dr Ste 270 , Phoenix AZ 85085. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Phoenix Wellness Center Llc can be contacted via phone (480) 653-8434, or through Kinnaman, Tonya via phone (480) 653-8434.

Contact Information

Primary practice address
2060 W Whispering Wind Dr Ste 270 Phoenix AZ 85085
Phone: (480) 653-8434
Fax: (623) 258-4077
Website:
Map and Directions
Authorized official contact:
Name: Kinnaman, Tonya MA, NCC, LPC
Phone: (480) 653-8434

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1720572043
LBN Legal business name Phoenix Wellness Center Llc
DBA Doing business as
Authorized official Kinnaman, Tonya MA, NCC, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2018
Last updated Jun 21st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720572043 NPPES
Arizona Other OTC8779 OUTPATIENT TREATMENT CENTER

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